About Lymphedema

WHAT IS THE LYMPHATIC SYSTEM AND LYMPHEDEMA?

The lymphatic system is structured like a web, occasionally draining into small lumps or nodes
that filter the lymphatic fluid. The system works through the pumping power of the body’s muscles. The muscles contract, increasing pressure within the lymph vessels, which causes the fluid to move. A series of one-way valves ensure that the fluid moves in the right direction. Lymphedema, the build up of protein rich fluid in the subcutaneous interstitial compartment occurs when either lymph fluid is impeded from flowing through the lymph vessels and lymphatic system or there is an excess of fluid that exceeds the carrying capacity of the lymph system. It collects in the subcutaneous and deep tissues causing swelling of the affected area and predisposes to chronic inflammation.

WHAT HAPPENS WHEN LYMPHEDEMA OCCURS IN PEOPLE AFTER BREAST CANCER TREATMENT?

When a sentinel node is removed, a number of nodes are removed, or if the nodes receive radiation therapy, the body is at risk for lymphedema. The loss of lymph nodes and vessels can result in lymphedema in the arm or other parts of the body. The amount of fluid collection is variable and at this time, unpredictable because of the variability of the insults and the lymphatic system itself.

WHY IS IT IMPORTANT TO BE AWARE OF THIS?

Any event which stimulates the formation of increased protein fluid and floating cells between the cells in the arm (such as infection, trauma and sun burn) or slow the flow of lymph fluid out of the arm (such as have blood pressure taken with a cuff) can increase the chance of fluid accumulating in the arm. Since no truly curative therapies exist, medical intervention is focused on preventing occurrences and recurrences and is most often dependent on patient self management and adherence. Prolonged or severe fluid build up can result in a more severe and permanent lymphedema.

AN ENHANCED MEDICAL DEVICE

Lymphedema is managed and treated through a variety of therapies. Compression armsleeves and gauntlets are one such therapy. LympheDIVAs armsleeves and gauntlets are Class 1 (20-30mmHg) and Class 2 (30-40mmHg) medical devices. Like other armsleeves they utilize graduated compression, the highest pressure is at the wrist and acts as a pump to encourage the lymph vessels to push the lymph fluid toward the body. LympheDIVAs garments are regularly tested using a Vista-Medical FSA pressure mapping system to assure proper compression. LympheDIVAs garments can improve patient compliance to therapy through increased comfort and better fashion.

A FASHION STATEMENT

At LympheDIVAs we believe that a majority of sleeves that were prescribed and purchased were worn a few times and then hidden in a drawer out of distaste and discomfort. Knowing that the compression sleeve cannot reduce the chance of occurrence or swelling by remaining in the drawer, LympheDIVAs has made lymphedema management easier by adding a dose of fashion and having superior comfort. A LympheDIVA enjoys wearing her sleeve because it is stylish, fashionable and fun. Women are more likely to derive the benefits of the garments simply because they are more likely to wear them and less likely to suffer from complications!

NOT JUST A PRETTY FACE

LympheDIVAs set out not just to make a pretty sleeve but a comfortable one using the following technologies:

• A fine knit construction producing a smooth
  surface, lightweight, and replicating a ‘second skin’.
• LYCRA® spaFx, a fabric finishing process which adds unscented aloe vera moisturizing micro-capsules for added softness and skin protection.
• Coolmax® technology for moisture-wicking, breathe-ability and a cooler temperature.
• A 360º stretch knit, which prevents binding, particularly at the elbow.
• LATEX FREE!

Not only do these additions result in a more comfortable garment, but they also improve management of the condition. The sleeve protects the arm from injury of various sorts and decreases the chance of lymphedema for those at risk.

WHO SHOULD WEAR A LYMPHEDIVAS SLEEVE?

LympheDIVAs sleeves are appropriate for those with mild to moderate lymphedema, or for those at risk. Our Class 1 sleeves are not recommended for severe swelling.

WHEN SHOULD A SLEEVE BE WORN?

We recommend consulting with a doctor or lymphedema therapist in order to find the most appropriate therapy for each individual. All women who are at risk for lymphedema or who have mild to moderate lymphedema should, at a minimum, wear their sleeve and gauntlet during air travel and while exercising.

GUIDELINES FOR REDUCING THE RISK OF LYMPHEDEMA FOR THOSE WHO HAVE HAD LYMPH NODE REMOVAL AND/OR RADIATION

DO TRY TO AVOID INFECTION

Have blood drawn and shots given on the unaffected arm. Keep the skin clean and protect it from cuts and scratches. Always carry band-aids!

DO TRY TO AVOID BURNS

Protect your arm from sunburn. Use oven mitts when cooking and avoid splash burns from steaming foods. Do not use hot tubs or saunas.

DO KEEP SKIN PROTECTED

Use moisturizing lotion and soaps that are pH balanced. Protect hands with gloves when cleaning.

DO AVOID USING SHOULDER STRAPS

Carry briefcases and/or purses on the opposite arm.

DO AVOID RESTRICTIVE CLOTHING

Wearing tight jewelry on the affected arm or hand will create a tourniquet effect you do not want. Blood pressure should be taken on the unaffected arm or thigh when both arms are affected.

DO TRY TO AVOID MUSCLE STRAIN

It is okay to do normal activities and exercise with the affected arm, but do not overdo it! Everyone should consult with their doctor about the level of activity that is right for them.

DO KEEP A HEALTHY DIET

Maintaining a healthy weight lowers the risk for developing lymphedema. Lower sodium intake.

DO WATCH FOR:

• A full feeling in your arm.
• A difference in size between the affected and non-affected arm.
• Weakness in your arm or not being able to move it as far.
• When pressing on the affected arm
  for twenty seconds, the impression of the finger remains.